HomeMy WebLinkAbout27614-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28699
Date: 08/12/0~
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 68 KINGFISHER LANE GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 35 Block 1 Lot 25
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 23, 2001 pursuant to which
Building Permit No. 27614-Z dated JULY 7, 2001
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is SINGLE FAMILY DWELLING (UNIT #68) WITH ATTACHED TWO CAR GAP~AGE AND
COVERED FRONT AND REAR PORCH AREAS.
·"ne certificate is issued to PECONIC LANDING AT SOUTHOLD, INC.
(OWNER)
of the aforesaid building.
SUFFOLK COUNT~ DEPARTMENT OF HEALTH APPROVAL C10-97-11
ELEc£aICAL CERTIFICATE NO.
PLUMBERS CERTIFIC~TION DA'r~
05/28/02
1057167 06/17/02
08/07/02 }L~RTCORN PLUNB. &HEATING
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
' BUII~DING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 27614 Z Date JULY 7, 2001
Permission is hereby granted to:
LANDING AT PECONIC
PO BOX 430
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR
GA/~AGE AND ENLARGED LIVING ROOM AS APPLIED FOR UNIT #68 CP~AWL SPACE
at premises located at
County Tax Map No. 473889 Section 035
pursuant to application dated MAY
Building Inspector.
1205 MAIN RD GREENPORT
Block
23, 2001
0001 Lot No. 025
and approved bythe
Fee $ 568.50
COPY
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FoR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
Ao
For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and uousual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building, .multiple residences and similar buildings and installations, a certificate
of Code Compliance fa'om architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
Bo
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and a cousent t0 inspect signed by the applieant. If a Certificate of Occupancy
is denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
Co
1. Certifieate of Oecupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Photocopy ofCertifieate of0ecupancy - $ 0.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certifieate of Occupancy - Residential $15.00, Commercial $15.00
Date.
New Construction:
Location of_ Property:
Owner or Owners of Property:
House No.
! /
Old or Pre-existing Building: __ (check one)
' Sk&d H~et
Suffolk County Tax Map No 1000, Section ~ ~.~
Subdivision
Permit No. Date of Permit.
ttealth Dept. Approval: "~ ' /,o ' ?..
Planning Board Approval: [ '2. - ~'{
Request for: Temporary Certificate
Fee Submitted: $ .~..._~ ~
Block I LOt
Filed Map. Lot:
Applicant:__
Underwriters Approval:
Final Certificate:
(check one)
Applicant Signature
Oennis M. Wilhelm
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-1823
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Building Permit No.
(please ~rint)
Plumber: Hartcorn glmg & Htg, Inc
(please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
(Plumbers Signature)
Sworn to before me this ~ ~
day of' ~ , 20~
Notary Public, County
VIRGINIA M. GOClNSKI
Notary Public, State of New Yolk
No. 4873841
T Qualified in Suffolk
errn expires October 20, ..
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
E.F. MALONEY
P.O. BOX 6070
MILLER PLACE, NY 11764,
COTTAGE 68 PECONIC LANDING
MAIN ST RTE 25
GREENPORT, VILL, NY 11944
Located at
MAIN ST RTE 25 GREENPORT, VILL, NY 11944
Application Number: 1057167
Certificate Number: 1057167
Section: Block: Lot: Building Permit: BDC: NS11
Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor, Attached Garage, Outside,
was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was
found to be in compliance therewith on the l?th Day of JLme, 2002.
Ngme QTY Rate Rating Circuit Type
Additional Charges
modular house N.Y.State approval # 19-13
mfg Avis America serial g 671301
Appliances and Accessories
Air Conditioner 1 0 42,000 BTU
Furnace 1 0 Gas
Wiring and Devices
Receptacle 1 0
Switch 1 0
Fixture 3 0
Service
I Phase 3W Service Rating 200 Amperes
Service Disconnect: 1 200 cb
Meters: I
General Purpose
General Purpose
Incandescent
seal
1 of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated,
FINAL INSPECTION REPORT
Sidney B. Bowne & Son
Consulting Engineers
235 E. Jericho Tpke., Mineola, NY 11501
PECONIC LANDING
TOWN OF SOUTItOLD
BUILDING PERMIT NO.:
COTTAGE NO.: ~'~'
In accordance with the Agreement between the Town of Southold and Sidney B. Bowne & Son,
LLP, Consulting Engineers, dated January 14, 2000, for professional engineering services
relating to the above project, we have completed the final inspection for the subject premises.
In addition, we have reviewed inspection reports and other relevant material for conformance to
the requirements of the Town Building Department for a Certificate of Occupancy.
Based on this review, we have no objection to the issuance cfa Certificate of Occupancy for the
subject cottage.
Gino N. Aiello, P.E.
Dated:
~ ~A~, T ,O,N, &6~ss, ,oc!a~t ~es~
June 6, 2002
Mr. Michael J. Verity
Code Enforcement Officer
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, NY 11971-1179
PECONIC LANDING PROJECTS.
Re: Cottage g68 Code Ce~ficalJon.
Dear Mike:
In reference to the above mentioned project we, Barton & Associates, LLP (Architects of Record
for said project), hereby certify that to the best of our knowledge, information and believe that
Cottage #68 has been constructed in compliance with all applicable laws, codes and ordinances.
Very Lruly your;
BARTON & ASSOCIATES, LP
Frank P. Laughlin, RA
Senior Vice President
cc: Dennis M. Wilhelm, RLS
Al Bmszeit, E&F Walsh
Bob Ellis, o/Iq
DAVID I£ KAPI~LL
(63 I ) 477 3000
236 THIRD STREET
GRI~IiNPOR'I, NEW YORK 11944
CLERK / TREASURER
CHRISTIE HALLOCK
Tel: (631 ) 477-0248/2385
Fax: (63t) 477 1877
March 14, 2002
E. F. Walsh
Developers Peconic Landing
From:
Village of Greenport
Utilities Department
To Whom It May Concern:
Re: Peconic Landing Sewerage System
The Village of Greenport is allowing Peconic Landing to deliver its sewerage to the
Village Sewerage System on a conditional basis until the pump facilities are complete and
certified, at which time the Village will accept total responsibility for the lift station and
related appuntages.
Presently units 1-45 are allowed to discharge into the Village's system.
The sewerage being delivered is acceptable to the Village sewerage system.
Respectfully,
William Swiskey
Utilities Foreman
WS/js
INSPECTION TEST
GAS AND WATER SERVICE
Sidney B. Bowne & Son
Consulting Engineers
235 E. Jericho Tpke, Mineola, N.Y. 11501
PECONIC LANDING
TOWN OF SOUTHOLD
GAS WATER
Pressure Pressure
COTTAGE # DATE APPROVED BY
Test Test
5.0 PSI 50 PSI
REMARKS:
)U~H PP, AME &
PLUMING
~SULAT~ON PI~R N. '~.
STATE ENERGY
CODE
i' ADD[TIOI~L
-BUILblNG DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Approved
Disapproved ~cc
· PERMIT NO.
DULL,.O.UN~ FP.,KIVIII AIJI~I.,I~AIIC)N UHJS(SI/-~IS.
Do you have or need the following, before applying
Board of Health
3 sets of Building Plans
Survey.
Iq -z_Check
Septic Form
N.Y.S.D,E,C.
,, ' Trustees
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
Date ,20
INSTRUCTIONS
a. Thi~ application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plans, accurate plot plan to scale. Fee according to. sched, ule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street~ or
areas, and waterways. :
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Insp,ctor will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughofit the work.
e. No building shall be occupied or used in whole or iyrpart for any purpose what-so-ever until a Certificate of Occupan
is issued by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building D.~partment for the issuance cfa Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply v4th all applicable laws, ordinances~ building code, housing code, and regulations, and to admit
authorized inspectors On premises and in building for necessary inspections.
(Signature of applicant or name, if a corporation)
(I~ailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
J
Name of owner of premises ¢~r'~,'C /t'/a~'tlO tO" ~l~uT~lOlJ
! (as on:the tax roll or latest deed)
If ap~c"'an~~~~uly authorized officer
~' (~arr~ ~md title of corporate*officer~' M ~ ' :'
Builders LicenseNo.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which p%oposed work will be doric.'
/2t S Iq: "
House Number Street '
Hamlet
County Tax Map No. 1000 Section k~%~' Block [
Subdivision ..' Filed Map No.
(Name)...
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy., ~ ,
b. Intended use and occupancy
Nature of work (check which applicable): New Building X Addition
Repair Removal Demolition Other Work
4. Estimated Cost ~k~i '700: ~)~)O. OO
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
Alteration
(Description)
(to be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, Specify nature and extent of each type of use.
7. Dimensions o f existing structures, if any: Front
Height Number of Stories
Rear
.Depth.
Dimensions of same structure with alterations or additions: Front
Rear
Depth Height. Number of Stories
g. Dimensions of entire new construction: Front ,,'~] Rear
Height 2.~/ Number of Stories, , /
). Size of lot: Front /g//~ Rear Depth
10. Date of Purchase ?JJ,q Name of Former Owner
~ 1. Zone or use district in which premises are situated
[2. Does proposed construction violate any zoning law, ordinance or regulation:
,Depth
:3. Will lot be re-graded 47.q Will excess fill be removed from premises: YES
Nanles
of
Owner
of~r~rnises~Address O{I k'¢~ Phone No./~/~ ~-
NameofArchitect',/~2'tl/~~t~, a,/..k.q&O~t. . Address ~! PhoneNo Klr~
Name of Contracto~~"J~'~ Xddress' ~ ~Phone No.~
5. Is this property within 100 feet of a tidal wetland? *YES NO
· IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. ~)J
?. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
;TATE OF NEW YORK)
:ouNw OF KF4',e.s)s:
f.~"/lT'/d ~ 14./ff-.~Zl/.flr-~'~'~~' being duly sworn, deposes and says that (s)he is hhe applicant ..
(Name of individual signing contract) above named,
S)He is the
(Contractor, Agent, Corporate Officer, etc.)
fsaid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
mt all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
erformed in the manner set forth in the application filed therewith.
worn to before me this __
/ ' / Signature of Abpl~ant
/
CUSTOMER: S~FT, COTTAGE #68
COVeReD PORCH
J
- IYVEK HOUSE V~RAP
9'-0" CEILINGS
ROOF INSTALLED ON SI]I-
ALL ~NDOW H£AOERB TO
CRAVd_SPACE ACCESS SUPPUED & INSTALLED ON SI~ BY BUILDER
SHIPLOOSE BIEOLD DOO~S
- AT]lC ACCESS BY BgILgER
671301
- ~ I:~'~,A'~NG, WAS
~ APPROVED PLANS ,riND OR
,aCI~OVED SYSTEMS
A~EMBI.Y ~ DP, AWIqO
SEE SHEETS ,3 & 4 FOR HURRICANE STRAPPING DETAIL.
MECHANICAL ROOM DETAILS
F ? /Released for
Production
DATE:~~
RECEIVED
AUG 2 0 2001
GENERAL NOTES SNOW LOAD: ~O~ P.S.F.